| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.25 | $22.25 | $46.25 | |
Aetna
| Professional | $21.44 | $40.03 | $60.33 | |
BCBS
| Facility | $112.87 | $151.58 | $219.58 | |
BCBS
| Professional | $28.89 | $47.60 | $65.36 | |
Cigna
| Professional | $26.36 | $52.16 | $78.95 | |
Medica
| Facility | $21.45 | $42.96 | $83.53 | |
Medica
| Professional | $43.87 | $59.35 | $199.07 | |
United
| Professional | $27.84 | $51.82 | $84.12 |